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Upper lip is longer, numb and cannot move after tip plasty and alarplasty. Any suggestions?

E
elleasksMay 5, 2015

I had tip plasty and alarplasty 10 days ago. The swelling has gone down a little and I see the shape. I am happy with how it is turning out. However, my face looks weird because my upper lip appears longer. It is also numb and I cannot move it. I look like I have an overbite, especially my profile. Certain words are also hard to say. Is this normal? When should I expect it to look like before?

Answers (3)

From board-certified doctors and trusted medical professionals
Dr. John Layke, DO, FACS
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Dr. John Layke, DO, FACS
Board Certified Plastic Surgeon
4.9 | 75 Reviews
Answered on May 5, 2015
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Dr. Robert S. Schmidt, MD
Dr. Robert S. Schmidt, MD
Board Certified Facial Plastic Surgeon
Answered on May 6, 2015
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Dr. Pouria Moradi, MBBS, FRACS
Dr. Pouria Moradi, MBBS, FRACS
Specialist Plastic Surgeon
Answered on May 5, 2015
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Guy Watts, MBBS (Hons), FRACS (Plast)

Thank you for your question an images. I do not think an alar base reduction alone would make a huge difference to your nose. The images provided block the medial aspect of your eyes which is a measure that I use to assess the requirement for alar base reduction. You do have very thick sebaceous...

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Jonathan Kulbersh, MD

Tip rhinoplasty is common performed to add definition in the nose. The cause for the loss of definition in the nose can vary from patient to patient. Some causes of a wide nasal tip are:1) Thick skin2) Divergent nasal cartilages3) Overly curved nasal cartilages4) Wide nasal cartilage5) ...

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Christopher Khorsandi, MD

In this type of nose structure an alar cinch to narrow the nostrils. There is also a possibility of a weir excision along with the alar cinch. However a consultation with a surgeon is required to examine the tissues.

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Ira D. Papel, MD

The photos you display show a wide nasal base , which can be altered by alar base resections. This means that skin i removed inside the nostrils to narrow the width of the nose. Done correctly this can give the effect you want without changing the bridge. Each case is different, so a...

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Andrew Miller, MD

When a tip is deprojected, it can look wider if it is not defined as much as possible. But you can't always fix it by reducing the nostrils. The tip is a naturally triangular shape, and since your tip is still wide, if you just bring in the nostrils, it might make the nose look more boxy. It...

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Philip S. Schoenfeld, MD, FACS

Your question is a good one and in some ways it reads as a commentary.  I like the result of your nose.  I suspect other people like the appearance of your nose as well.  On the photo that you have provided your nostrils do not appear to be significantly out of proportion to the...

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